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Orthopedics and Osteoporosis 2018

N o v e m b e r 2 9 - 3 0 , 2 0 1 8

Am s t e r d a m , N e t h e r l a n d s

Page 62

Journal of Clinical & Experimental Orthopaedics

ISSN: 2471-8416

E u r o p e a n C o n f e r e n c e o n

Orthopedics and

Osteoporosis

L

ow back pain (LBP) has become a growing public health problem in adolescents, presenting a relatively high prevalence

during school age. Several studies verified the prevalence of annual LBP in the world and the values varied between 13%

and 51%. In southern Portugal, 966 adolescents were evaluated, aged between 10 and 16 years and the results revealed that

15.7% of students had LPB at the present time, 47.2% had experienced it in the last year and 62.1% had lifetime prevalence of

LBP (Minghelli et al., 2014). LBP represents a significant negative impact, being commonly associated with the demand for

health care, medication use, increasing absenteeism and with a decrease in quality of life. Because of that, the presence of

LBP can lead to very high economic consequences, both due to direct financial costs and due to absenteeism. Several factors

may be involved in the pathogenesis of LBP, such as genetic, psychosocial, physiological, anthropometric and environmental,

among them ethnicity, age, sex, smoking, obesity, physical activity practice, sedentary activities such as television watching

and computer use, adoption of wrong postures and incorrect transportation and excess weight in school backpacks. Minghelli

et al. study found that students who sit with the spine incorrectly positioned presented 2.49 (95% CI: 1.91-3.2, p<0.001) greater

probability of having LBP, and students using improper positions for watching TV or playing games have 2.01 (95% CI: 1.55-2.61,

p<0.001) greater probabilities compared to those who adopted correct postures. Physiotherapy in the school health field emerges

with the objective of promoting knowledge and health conditions in this specific area of LBP and postural changes, optimizing the

technical and personal skills of teachers and students, and developing individual and collective health potential. The performance

of the Physiotherapist in schools should involve a salutogenic approach in order to create in schools a stimulating environment

of creativity and a critical sense, and not just an intervention aiming at changes in risk factors. Empowerment, capacity and

motivation must be given so that adolescents and the entire school community are responsible for their own health choices. This

presentation will showed a preventive physiotherapy program at the school, through health education sessions and modifications

of the school environment.

beatriz.minghelli@silves.ipiaget.pt

Low back pain in childhood and adolescent phase:

consequences, prevalence, risk factors and

preventive program

Beatriz Minghelli

1, 2

1

School of Health Jean Piaget Algarve, Piaget Institute, Portugal

2

PECI- Piaget Institute, Portugal

J Clin Exp Orthop 2018, Volume: 4

DOI: 10.4172/2471-8416-C1-006